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City of Zephyrhift Permit Application FaX-813-780-O021 <br /> Building Department <br /> Date Received Phone Contact tot PertnitUnt <br /> . Owner Phone Number <br /> Owner's Name <br /> Owner's Addross L Owner Phone Number <br /> Fee Simplo Tiftlisholdl r Owner Rone Numth-u <br /> Fee Shapts Tilthihold r Address <br /> JOB ADDRESS (herjckE r'$,a2CQbW r-h~N LOTS <br /> SUBDMS)ONr-1 sa g!w-c-r—A C--') I PARCEL 100 <br /> (OSTAWD FROM PROPERTY TAX NO-TICIT) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN r7 M DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR ctwm I <br /> "0" .0 <br /> TYPE OF;CoN;STRWtJ ION BLOCK FRAME STEEL I <br /> DESCRIPTION OF W RK <br /> GULDINO Sin SQ FOOTAOef—� 1,11910tu <br /> . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .I. . . . . . . . .. . . <br /> r7BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> AMPSERVICE PROGRESS ENERGY r7 W.RE.C. <br /> LUMBING <br /> 17-711VIECHAW VALUATION OF MECHANICAL INSTALLATION <br /> P �-�77/ t <br /> r7GAS 7-1 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELIA11ONS FLOOD ZONE AREA =YES NO <br /> ... . . . . . . .. . . . <br /> RUILDER COMPANY I <br /> 8111ONATURE 1 1, REGISTERED I YIN FEECURREN <br /> Address License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 11 REGISTERED I Y/N FEECURREN I 77N I <br /> Address License# <br /> ;PLUMBER COMPANY <br /> Z40HATURE FEECURREN I -TIN I <br /> Addressr,-Cv: <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> I YIN FEE CURREN L YI&J <br /> Address Licensers <br /> C"E'4R <br /> COMPANY <br /> Ston,'URE REGISTERED I YIN I FEECURREN I YIN <br /> - I <br /> Address License# <br /> RESIDENrfAI Altactli(2)I'lot Flans;(2)sets or kioacang mans;(1)Get at energy t-orms;x-1J-vv i-ermit ror now consncton, <br /> Minim M ten(10)mrWg days abrsubmftl date. Required onsite,Construction Plans,6tormwabar Plans Yd Slit Fence Installed, <br /> San FacilItIes 9 t dumpster,Site Work Permit for subdivIslonsilarge projects <br /> COMMERCIAL Abe'l, -O <br /> )complete sets of Building Plans plus a Life Safety page:(1)set of Energy Forms.R .W permit for now construction. <br /> Minimlim ten(10)=r1dr;days after submittal data. Required onske,Oonstructon Plans,StDrMftter Plans W Sift Fence Installed, <br /> Ste Facilities&I ClUmpster.Site Work Permit for all now projects.AR commercial requirements must meet compliance <br /> SION PERMIT Attach sets of Engineered Plans. <br /> SURVEY-required for Wi NEW construction. <br /> FW Own.,$2.Conirataor ,V babkofLapplication,notarized <br /> If over S2500,a Not! ofCommencement is required. (AIC upgrades over$7600) <br /> Agont(for the contra i 11or)or Power of Attorney(for tho.ovvner)would be somaona with notarkwd lottor from owner auffiorizIng same <br /> OVER THE COUNTER PMITTIING (copy of contract required) <br /> Reroofs If shingles Sd,vvers . Service Upgrades AIC Ferims(Plot/Survey/Footap) <br /> I <br /> DrIveways-Not over untsr If on'PublIc;roadways,.needs ROW <br />